The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed— 1 day—1. The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m— 3 with a mean value of 166.7 kg m—3. The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.
Groundwater is the major source of water to the Palestinians. Efficient management of this resource requires a good understanding of its status. This understanding necessitates a characterization of the quality of the utilizable volumes. This paper focuses on the assessment of nitrate concentrations in the aquifers of the West Bank, Palestine. A preliminary statistical analysis is carried out for the spatial and temporal distributions of the nitrate concentrations. GIS is utilized to facilitate the analysis and to efficiently account for the spatiality of nitrate concentrations. The analysis was carried out at different spatial levels and key parameters including soil type, watersheds, depth, population, and rainfall. It is observed that elevated nitrate concentrations in the groundwater greatly coincide with increasing rainfall, particularly in the last few years. Results confirm that the annual mean nitrate concentration in the Western groundwater basin has an increasing trend over the period from 1982 to 2004 indicating its vulnerability to contamination. This result can be attributed to the agricultural activities along with the high groundwater recharge. However, leaking septic and sewer systems are considerably causing nitrate contamination of groundwater in populated areas. Overall, the recommendations call for an immediate intervention to manage the quality problems in the West Bank aquifers.
In this paper, lumped-parameter models (LPMs) were developed and utilized to simulate nitrate concentration in the groundwater of Gaza City and Jabalia Camp (GCJC) in the Gaza Coastal Aquifer (GCA) in Palestine. In the GCJC area, nitrate levels exceed the maximum contaminant level (MCL) of 10 mg/L NO3-N (45 mg/L NO3) in many wells. Elevated nitrate concentrations in the groundwater of GCJC area are due to the disposal of untreated wastewater, the existence of heavy agriculture in the surrounding areas, and the use of cesspits for wastewater disposal. The developed LPMs utilize monthly time steps and take into consideration all the sources and sinks of water and nitrate in the study area. The main outcomes of the LPMs are the average temporal water table elevation and nitrate concentration. In order to demonstrate LPMs usability, a set of management options to reduce nitrate concentration in the groundwater of the study area were proposed and evaluated using the developed LPMs. Four broad management options were considered where these options tackle the reduction of nitrate concentration in the lateral inflow, rehabilitation of the wastewater collection system, reduction in cesspit usage, and the restriction on the use of nitrogen-based fertilizers. In addition, management options that encompass different combinations of the single management options were taken into account. Different scenarios that correspond to the different management options were investigated. It was found based on the LPMs that individual management options were not effective in meeting the MCL of nitrate. However, the combination of the four single management options with full rehabilitation and coverage of the wastewater collection network along with at least 60% reduction in both nitrate concentration in the lateral inflow and the use of nitrogen-based fertilizers would meet the MCL constraint by the end of the management period.